JASON KENDALL WALLS - Physician Assistant License in Illinois | # 085001763

JASON KENDALL WALLS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001763

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

KENDALL

Last Name

WALLS

Business Name

JASON KENDALL WALLS

Original Issue Date

02/06/2002

Effective Date

02/06/2002

Expiration Date

03/01/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006